65%
denials never reworked
Most practices lack capacity to chase every denial.
Service
Denial Management & Appeals
We don’t just rebill — we fix why the denial happened.
The problem
What happens when this breaks.
90
day appeal windows
Missed deadlines mean permanent write-offs.
3×
cost of a rework
Preventable denials cost far more than front-end edits.
How MedfirstRCM handles it
A disciplined process — not a ticket queue.
- 01
Categorize
Bucket denials by root cause — coding, auth, medical necessity, eligibility.
- 02
Prioritize
Work high-dollar and expiring appeals first.
- 03
Appeal
Clinical + billing packets tailored to payer policy.
- 04
Prevent
Feed patterns back into scrubbing and coding rules.
What's included
Scope you can hold us to.
- Denial workqueue ownership
- Clinical appeal writing
- Payer policy research
- Trend reporting to leadership
Results
Outcomes tied to this service.
↑0%
Denial recovery rate
<0%
Steady-state denial rate
0
Avg. days to appeal
Works with your EHR / PM / LIS
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FAQ
Questions we hear most.
Yes — including LCD/NCD citations and supporting clinical documentation.
See exactly how much revenue you're leaving behind.
Book a free practice audit. We'll map your denials, aging, and coding gaps — and show you a clear path to lift.